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OPD : 02-Jun-2026 12:08PM Demographic Details Child's Name: Sarthik singh Age: 4 Year 6 Month 24 Days Gender: Male DOB: 2021-11-09 Mother’s age (years): 29 years Mother’s occupation: Homemaker Father’s age (years): 35 years Father’s occupation: Krishi vibhag Type of family: Joint Number of family members: 3 Number of siblings: 1 Details of siblings (Age and sex): 9 month male Address: Kampoo (Nani) Contact: 9399644830 Referred By: Relative Informant: Mother Presenting Concerns Chief concerns: Object obsession Duration of symptoms: Noticed since 2.5 years age Interaction history: Eye contact: Suboptimal Quality of Interaction: limited Behavioral history: Repetitive behaviors (RRBs): Running to and fro, spinning Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Others Emotional History Details: Irrelevant laughing and crying Sensory Concerns: Tactile: Hypersensitive Auditory: Hyposensitive Visual: Seeks visuals Proprioception: Seeks pressure Vestibular: Seeks movement Details:: Doesnt cooperate for haircut and nailcut Birth & Perinatal History: Antenatal History Consanguinity: No Type of conception: Natural Others:: Vitamin B12 deficiency Natal and Postnatal History: Place of Birth: Institutional Mode of Delivery: LSCS Indication for LSCS (if applicable): Leaking PV Gestational Age: Late preterm Birth Weight: 2.54 Kg Cry at birth: Cried immediately after birth Resuscitation required: No NICU stay: No Past history: Hospitalization: Yes Others: At 2.5 years acute diarrheal illness admitted for 7 days. At 3 years- diarrhea Investigations done- Hearing assessment: Done Details: Reports not there Vision assessment: Not done Family history: Neuropsychiatric condition: No Developmental History: Gross Motor Neck holding: Achieved Age of attainment: 4 months Roll over: Achieved Age of attainment: 5 months Sitting without support: Achieved Age of attainment: 7 months Standing without support: Achieved Age of attainment: 9 months Walking without support: Achieved Age of attainment: 12 months Running: Achieved Age of attainment: Climbing upstairs: Achieved Age of attainment: Climbing downstairs: Achieved Age of attainment: Fine Motor Bidextrous grasp: Achieved Age of attainment: 4 months Unidextrous grasp: Achieved Age of attainment: 6 months Pincer grasp: Achieved Age of attainment: 12 months Drinking from cup: Achieved Age of attainment: Language Receptive:- Joint attention: Achieved Age of attainment: 2.5 years Pointing: Achieved Age of attainment: 3 years Understanding gestures: Not achieved Following commands: Not following Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Expressive:- Cooing: Achieved Age of attainment: 4 months Babbling: Achieved Age of attainment: 6 months Meaningful words: Not achieved Details:: Few kinship words started (Papa, didi meaningfully) Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Inconsistent Drag for needs: Inconsistent Joint attention: Inconsistent Pointing: Attempts Understanding gestures: Absent Following commands (gesture + verbal): Nil Answering Questions:- Echolalia: Present Social Social smile: Achieved Age of attainment: 2 months Stranger anxiety: Achieved Age of attainment: 8 months Waving bye bye: Not achieved Response to Name Call Details: 5/10 Sitting tolerance- (in minutes) For interaction: Doesnt sit For tasks: sit better for tasks ADL Skills (Age-appropriate)- Eating: 4. Needs minimal assistance Bathing: 3. Needs significant assistance Toilet training: 3. Needs significant assistance Dressing: 3. Needs significant assistance Undressing: 3. Needs significant assistance Details:: Can control urine Type of Play : 2. Isolated Academic History: Is child enrolled in school: No Diet History: Food preferences: Mixed Food allergies: No Junk food intake: No Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 2 to 3 hours Sleep disturbances: Yes Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Weight: 13.8 Kg Height: 105 cm Head circumference: 50 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1–12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper CVS examination: NAD Respiratory System examination: NAD Per abdomen examination: NAD Advice Intervention plan: IDP 3/week + PMT 1/week Follow up plan: After 1 month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 02-Jun-2026 12:08PM Demographic Details

Child's Name: Sarthik singh
Age: 4 Year 6 Month 24 Days
Gender: Male
DOB: 2021-11-09
Mother’s age (years): 29 years
Mother’s occupation: Homemaker
Father’s age (years): 35 years
Father’s occupation: Krishi vibhag
Type of family: Joint
Number of family members: 3
Number of siblings: 1
Details of siblings (Age and sex): 9 month male
Address: Kampoo (Nani)
Contact: 9399644830
Referred By: Relative
Informant: Mother

Presenting Concerns

Chief concerns: Object obsession
Duration of symptoms: Noticed since 2.5 years age

Interaction history:

Eye contact: Suboptimal
Quality of Interaction: limited

Behavioral history:

Repetitive behaviors (RRBs): Running to and fro, spinning Patterned behavior or activities: Hyperactivity Inattention Impulsivity Object obsession Temper tantrums Stubbornness Aggression Others Emotional History Details: Irrelevant laughing and crying
Sensory Concerns:

Tactile: Hypersensitive
Auditory: Hyposensitive
Visual: Seeks visuals
Proprioception: Seeks pressure
Vestibular: Seeks movement

Details:: Doesnt cooperate for haircut and nailcut

Birth & Perinatal History: Antenatal History

Consanguinity: No
Type of conception: Natural
Others:: Vitamin B12 deficiency

Natal and Postnatal History:

Place of Birth: Institutional
Mode of Delivery: LSCS
Indication for LSCS (if applicable): Leaking PV
Gestational Age: Late preterm
Birth Weight: 2.54 Kg
Cry at birth: Cried immediately after birth
Resuscitation required: No
NICU stay: No

Past history:

Hospitalization: Yes Others: At 2.5 years acute diarrheal illness admitted for 7 days. At 3 years- diarrhea

Investigations done-

Hearing assessment: Done Details: Reports not there Vision assessment: Not done

Family history:

Neuropsychiatric condition: No

Developmental History:

Gross Motor

Neck holding: Achieved

Age of attainment: 4 months
Roll over: Achieved

Age of attainment: 5 months
Sitting without support: Achieved

Age of attainment: 7 months
Standing without support: Achieved

Age of attainment: 9 months
Walking without support: Achieved

Age of attainment: 12 months
Running: Achieved

Age of attainment:
Climbing upstairs: Achieved

Age of attainment:
Climbing downstairs: Achieved

Age of attainment:

Fine Motor

Bidextrous grasp: Achieved

Age of attainment: 4 months

Unidextrous grasp: Achieved

Age of attainment: 6 months

Pincer grasp: Achieved

Age of attainment: 12 months

Drinking from cup: Achieved

Age of attainment:

Language

Receptive:-

Joint attention: Achieved

Age of attainment: 2.5 years
Pointing: Achieved

Age of attainment: 3 years
Understanding gestures: Not achieved
Following commands: Not following

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Expressive:-

Cooing: Achieved

Age of attainment: 4 months

Babbling: Achieved

Age of attainment: 6 months

Meaningful words: Not achieved

Details:: Few kinship words started (Papa, didi meaningfully)

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Inconsistent
Drag for needs: Inconsistent
Joint attention: Inconsistent
Pointing: Attempts
Understanding gestures: Absent
Following commands (gesture + verbal): Nil

Answering Questions:-

Echolalia: Present

Social

Social smile: Achieved

Age of attainment: 2 months
Stranger anxiety: Achieved

Age of attainment: 8 months
Waving bye bye: Not achieved

Response to Name Call

Details: 5/10

Sitting tolerance- (in minutes)

For interaction: Doesnt sit
For tasks: sit better for tasks

ADL Skills (Age-appropriate)-

Eating: 4. Needs minimal assistance
Bathing: 3. Needs significant assistance
Toilet training: 3. Needs significant assistance
Dressing: 3. Needs significant assistance
Undressing: 3. Needs significant assistance

Details:: Can control urine

Type of Play : 2. Isolated Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: Mixed
Food allergies: No
Junk food intake: No

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 2 to 3 hours
Sleep disturbances: Yes

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Weight: 13.8 Kg Height: 105 cm Head circumference: 50 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1–12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper

CVS examination: NAD
Respiratory System examination: NAD
Per abdomen examination: NAD

Advice

Intervention plan: IDP 3/week + PMT 1/week
Follow up plan: After 1 month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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